Evan Laub
Pharmacist in Albuquerque, NM. Individual provider (NPI-1).
NPI number1336746205
StatusActive
Last updated in NPPESOct 5, 2020
Details
- NPI
- 1336746205
- Entity type
- Individual (NPI-1)
- Name
- Evan Laub
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2020
- Certification date
- Sep 28, 2020
- Last updated
- Oct 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP00009380 | NM | Yes |
Practice location
2950 Central Ave. SwAlbuquerque, NM 87106
Phone 505-262-1745
Mailing address
9723 Entrada Pl NwAlbuquerque, NM 87114-3775
Phone 505-463-1893
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